Individual
PATRICIA MANKEH MANJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 READ ST, LOWELL, MA 01850-2513
(978) 328-7709
Mailing address
29 READ ST, LOWELL, MA 01850-2513
(978) 328-7709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2267823
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2267823
MA
Other
Enumeration date
04/17/2020
Last updated
06/21/2022
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